My doctor is not knowledgeable about or terribly concerned about sleep therapy. I can tell from my limited conversations with him that it isn't a topic he is interested in or takes very seriously. He disagreed with me for instance when I told him that my HBP is likely due to insufficiently treated apnea, even though I am otherwise healthy.
I will have to pay the DME and my doc for new pressure orders. Because the place where I had the sleep study went out of business, the DME will probably press for a new sleep study. This all comes out of my pocket.
I read a story (on here or elsewhere?) about new Medicare reimbursement schemes for sleep therapy and equipment. I noticed on Craigslist that there are a couple local DMEs for sale, also trying to sell off their inventory. There are a lot of businesses in my city selling PAP equipment off-market.
So last night I went to sleep with pressure at 10 cm and C-Flex 3. I woke up feeling CA-ish about 3 am, and bumped up the pressure to 11 and left the C-Flex alone. I swallowed less air and felt better this morning than I have lately (although I'm still tired). I'm going to leave the machine at current settings tonight and probably Saturday night. If that doesn't work, then I'm bumping pressure up higher - to 13, my original setting - and will see what happens.